Makoshika Wellness INC
Clinic/Center in Glendive, MT. Organization (NPI-2).
NPI number1316629264
StatusActive
Last updated in NPPESAug 1, 2023
Details
- NPI
- 1316629264
- Entity type
- Organization (NPI-2)
- Legal business name
- Makoshika Wellness INC
- Organization subpart
- No
- Enumeration date
- Aug 1, 2023
- Certification date
- Aug 1, 2023
- Last updated
- Aug 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Other names
- Makoshika Wellness (Doing Business As)
Practice location
107 W Bell StGlendive, MT 59330-1614
Phone 406-359-1395
Mailing address
Po Box 311Glendive, MT 59330-0311
Phone 406-359-1395
Authorized official
Sara Plummer
Executive Director
2086998989
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